[Results of treating comminuted fractures of the distal end of the tibia]

Fifty-seven cases of comminuted fractures of the distal end of the tibia, inclusive of 9 cases of open fractures have been treated between 1987 and 1992. The fractures were rated according to the Ruedi-Allgower classification. Modalities of treatment used by the authors have been discussed. Long-term results have been assessed in 40 cases. Twenty of them were rated good, 13 fair and 7 bad. In 20 cases osteoarthritis of the talocrural joint has been found. Conservative treatment or minimal surgery (fixation of the fibula) rendered good and fair results in grade I and II fractures. Majority of bad results was found in grade III fractures due to the severe destruction of the articular surfaces of the talocrural joint.